Genesis Chiropractic Pllc

NPI #1619309218 in Macomb, Michigan

Provider Information

NPI Number: 1619309218
Entity Type: Organization
Organization Name: Genesis Chiropractic Pllc
Primary Specialty: Chiropractor
Enumeration Date: Aug 6, 2013
Last Updated: Aug 6, 2013

Practice Location

Address: 21880 23 MILE RD
City: Macomb
State: Michigan
ZIP Code: 48042-4422
Phone: (586) 604-3253

Authorized Official

Name: DR. EDWIN RICHARD KAPUT, D.C
Title: CHIROPRACTOR
Phone: (586) 604-3253

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Chiropractor	111N00000X	Primary

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